Online Interview

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Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:

Education:

How many years of education have you completed? Masters Degree Multiple MA's or credits beyond Ph.D. or Educational Doctorate

Please select the appropriate response to reflect your educational background: Teacher certification w/Counseling endorsement Certification as school psychologist

Do you have or are you pursuing state licensure or CSW or MSW professional certification? Yes No

Experience:

How many years of overall experience to you have in the Education field? New to field or less than 1 year Atleast 1 but less than 3 yrs. Atleast 3 but less than 5 yrs. Atleast 5 but less than 10 yrs. More than 10 years

How many years of experience do you have as a Counselor or Psychologist? New to field or less than 1 year Atleast 1 but less than 3 yrs. Atleast 3 but less than 5 yrs. Atleast 5 but less than 10 yrs. More than 10 years

Do you have experience designing and coordinating an Orientation Program for students entering a new educational division? Yes No

Do you have experience or training in administering Measurement and Evaluation instruments? Yes No

Do you have experience or training in coordinating outside resources for utilization in the school setting? Yes No

Do you have experience working within the social services network? Yes No

Do you have experience or training in advising special-need students, e.g., learning disabled, gifted students, athletes? Yes No

Please indicate the area or areas you have experience or training in with regard to Individual counseling: physical, sexual, and emotional abuse/neglect stress due to divorce, separation and death drug and alcohol abuse suicide intervention runaway prevention dropout prevention all of the above

Please indicate the area or areas you have experience or training in with regard to Group counseling: divorce, separation self esteem anger mngt/conflict resolution dropout prevention peer-death bereavement All of the above

Do you feel that you can aid a teacher having classroom management difficulties with a given population of students? Yes No

Do you have a comprehensive understanding of personality development and the assessment of human behavior? Yes No

Do you have a knowledge of how cultural and ethnic differences influence behavior and affect evaluation? Yes No

Do you have specific work experience in admissions counseling? Yes No

Have you participated in or led the IEP process for students? Yes No

Do you have working knowledge of PC software applications? Yes No

Please select the response that best describes your area of expertise or preference in Counseling: Individual Group Program Design Parent Training College/Career Counseling All of the above

Please select the area that best describes your expertise or preference in your field: Elementary Middle School Secondary District level Early Childhood

General:

Are you interested in working full time or part time? Full time Part time

Are you currently employed? Yes No

Are you at least 18 years of age and eligible to work in the United States? Yes No

Are you at least 16 years of age and eligible to work in the United States? Yes No

Would you relocate to another state? Yes No

Are you bi-lingual or multi-lingual? Yes No

In addition to English, in which language are you most fluent? Spanish French Italian German Russian Chinese Japanese Other None

If extended an offer of employment, when would you be available to begin work? Immediately 1 to 2 weeks 3 to 4 weeks Start of the next school year

Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing? Yes No

Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks? Yes No

How many miles from your home are you willing to travel to work? Up to 5 miles Up to 10 miles Up to 20 miles Over 20 miles

Are you now or have you been a member of the United States Military, National Guard or Reserves? No I am a Veteran of the United States military I am currently a member of the United States military I am currently a member of the National Guard or Reserves I was a member of the National Guard or Reserves

Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.
Additional Info:

Terms of Service: By completing this Online Interview and clicking the "Submit" button, you give CAJobs permission to release the information contained in the Online Interview, including contact information and employment history, to employers who may be interested in hiring you.